| Lake Oconee Smile Center | |
|
1050 Parkside Commons Suite 103 Greensboro GA 30642 | |
| (706) 454-2222 | |
| (706) 454-1234 |
| Full Name | Lake Oconee Smile Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1050 Parkside Commons, Greensboro, Georgia |
| Authorized Official Name and Position | Kaneta R Lott (DENTIST) |
| Authorized Official Contact | 7064542222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Oconee Smile Center 1050 Parkside Commons Suite 103 Greensboro GA 30642 Ph: (706) 454-2222 | Lake Oconee Smile Center 1050 Parkside Commons Suite 103 Greensboro GA 30642 Ph: (706) 454-2222 |
| NPI Number | 1609085950 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609085950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN009450 (Georgia) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN012174 (Georgia) | Primary |
Lake Oconee Oral And Maxillofacial Surgery, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Founders Row, Greensboro, GA 30642 Phone: 706-454-1500 Fax: 706-454-1501 | |
Lakeside Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Parkside Cmns, Suite 103, Greensboro, GA 30642 Phone: 706-454-2222 Fax: 706-454-1234 | |
Georgia Dental Alliance Of Greensboro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinc Way Ste W-200, Greensboro, GA 30642 Phone: 706-454-0044 | |
Lake Oconee Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Parkside Cmns Ste 103, Greensboro, GA 30642 Phone: 706-484-9844 Fax: 706-484-9846 |